Mastectomy Box Request Form

Inspired by Betty’s own breast cancer journey, our post-mastectomy care boxes are thoughtfully curated to bring comfort, support healing, and remind every woman she is loved.

Who can receive a box? Our boxes are free for Kentucky residents, but the request must be completed by the recipient (not a family member or friend).

Through our partnership with Kentucky CancerLink, we can reach women across Kentucky more efficiently. Every box is lovingly purchased and packed by Betty’s Brave & Beautiful Hearts, with shipping coordinated through Kentucky CancerLink and fully funded by our foundation. Thanks to our generous donors, there is never any cost to Kentucky recipients.

Ready to request your Betty’s Box?

I'd like a mastectomy box, please!

Want to send or receive a box out of state?

Here are the steps:

1. Make a $250 donation here.

2. Enter the recipient’s name in the “In Honor Of” field.

3. Ask her to complete her recipient information using the form below.

4. We’ll lovingly pack and ship her Betty’s Brave & Beautiful Hearts box!

Out of State Recipient's Form

Chemotherapy Care Items

We are now providing mastectomy care kits only. If you are in need of chemotherapy care items, our partners at Kentucky CancerLink can help. Please fill out the form below so we can connect you with the right support.

Chemotherapy Supplies Form